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    A study of human resource competencies required to implement community rehabilitation in less resourced settings

    Gilmore, Brynne and MacLachlan, Malcolm and McVeigh, Joanne and McClean, Chiedza and Carr, Stuart and Duttine, Antony and Mannan, Hasheem and McAuliffe, Eilish and Mji, Gubela and Eide, Arne H. and Hem, Karl-Gerhard and Gupta, Neeru (2017) A study of human resource competencies required to implement community rehabilitation in less resourced settings. Human Resources for Health, 15. p. 70. ISSN 1478-4491

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    Background It is estimated that over one billion persons worldwide have some form of disability. However, there is lack of knowledge and prioritisation of how to serve the needs and provide opportunities for people with disabilities. The community-based rehabilitation (CBR) guidelines, with sufficient and sustained support, can assist in providing access to rehabilitation services, especially in less resourced settings with low resources for rehabilitation. In line with strengthening the implementation of the health-related CBR guidelines, this study aimed to determine what workforce characteristics at the community level enable quality rehabilitation services, with a focus primarily on less resourced settings. Methodology This was a two-phase review study using (1) a relevant literature review informed by realist synthesis methodology and (2) Delphi survey of the opinions of relevant stakeholders regarding the findings of the review. It focused on individuals (health professionals, lay health workers, community rehabilitation workers) providing services for persons with disabilities in less resourced settings. Results Thirty-three articles were included in this review. Three Delphi iterations with 19 participants were completed. Taken together, these produced 33 recommendations for developing health-related rehabilitation services. Several general principles for configuring the community rehabilitation workforce emerged: community-based initiatives can allow services to reach more vulnerable populations; the need for supportive and structured supervision at the facility level; core skills likely include case management, social protection, monitoring and record keeping, counselling skills and mechanisms for referral; community ownership; training in CBR matrix and advocacy; a tiered/teamwork system of service delivery; and training should take a rights-based approach, include practical components, and involve persons with disabilities in the delivery and planning. Conclusion This research can contribute to implementing the WHO guidelines on the interaction between the health sector and CBR, particularly in the context of the Framework for Action for Strengthening Health Systems, in which human resources is one of six components. Realist syntheses can provide policy makers with detailed and practical information regarding complex health interventions, which may be valuable when planning and implementing programmes.

    Item Type: Article
    Keywords: Human resources; Delphi study; Rehabilitation; Realist synthesis; Community-based rehabilitation; Lowresource settings;
    Academic Unit: Faculty of Science and Engineering > Psychology
    Item ID: 11633
    Identification Number:
    Depositing User: Malcolm MacLachlan
    Date Deposited: 11 Nov 2019 14:47
    Journal or Publication Title: Human Resources for Health
    Publisher: BioMed Central
    Refereed: Yes
    Use Licence: This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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